Mammogram Cost in Utica, NY (2026): Average Prices & What You'll Pay
What does a mammogram cost in Utica, NY?
Where you have a mammogram done in Utica, NY swings the bill from $82 to $121 for identical care. The median cash price across 2 reporting hospitals is $102. The numbers are pulled directly from federally mandated hospital price transparency files.
The same mammogram that costs $53 at Rome Memorial Hospital reaches $150 at Rome Memorial Hospital — a 2.8× gap across the 2 Utica, NY hospitals reporting prices. The median Utica, NY price is $102. Most facilities fall between $77 and $121. Self-pay patients are quoted more than insurers actually pay: the median cash price is $102 versus a median negotiated rate of $75.
A screening mammogram is $0 — until a callback or a symptom re-codes it as diagnostic and the bills start.
The free toolkit shows you:
- ✓ When a "free" screening becomes a cost-shared diagnostic mammogram — and how to see it coming
- ✓ The separate radiologist bill most patients miss (and how to verify it's in-network)
- ✓ Why a hospital outpatient department can cost far more than a breast center for the identical study
- ✓ When 3D tomosynthesis adds a separate charge — and the questions to ask before you schedule
- ✓ A real patient billing breakdown, line by line
Free for patients — takes 30 seconds to get.
We'll email it to you immediately. No account required, no spam.
Forecast your out-of-pocket cost
- Lower-cost hospitals (bottom 25%): under $77
- Median hospital: $102
- Higher-cost hospitals (top 30%): $121+
That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.
- Patient A (higher-rate plan or out-of-network): ~$121
- Patient B (lower-rate in-network plan): ~$82
Cheapest Mammogram Providers in Utica, NY
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Rome Memorial Hospital | NY | $150 | +$48 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.
→ Compare all procedure costs → Mammogram costs nationwide
Check YOUR hospital's pricing → Estimate YOUR exact cost →
What you'll actually pay — example scenarios
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met (pay in full) | ~$102 |
| Deductible met — 20% coinsurance | ~$20 |
| Out-of-network provider | $224+ |
Based on the state median facility price of $102. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →
What this means for you
If you haven't met your deductible, you are effectively a cash-pay patient.
That means:
- You should verify your hospital is in-network before an elective visit when possible
- The cheapest facility can save you $49+ vs. the median.
This is the single biggest lever most patients have to reduce their cost.
Lower-cost options in Utica, NY start around $77 or below. Most hospitals cluster between $77 and $126. A smaller group reports prices above that — often academic medical centers or high-cost markets.
- Best value hospitals (lowest prices): Little Falls Hospital: $53; Rome Memorial Hospital: $150
- Most expensive (outpatient): Rome Memorial Hospital: ~$150; Little Falls Hospital: ~$53
→ Choosing the right facility can save $49+ vs. the state median.
Utica, NY Mammogram prices by facility
All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.
- Cash price — the self-pay rate you can actually negotiate and pay
- Negotiated rate — if reported by the hospital across insurance contracts
- Gross charge — fallback only; this is the inflated list price few people pay
This reflects the real prices patients encounter — not inflated chargemaster rates.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | Little Falls Hospital | NY | $53 | -$49 | $143–$691 |
| #2 | Rome Memorial Hospital | NY | $150 | +$48 | $88–$991 |
Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.
Received a bill? Check it for errors → Estimate YOUR cost before you go →
Compare other procedures in Utica, NY:
Where you can save the most on mammogram in Utica, NY
These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.
| Facility | City | Your Price | vs Median |
|---|---|---|---|
| Little Falls Hospital | NY | $53 | -$49 |
| Rome Memorial Hospital | NY | $150 | +$48 |
How to choose a lower-cost facility
- Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
- Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
- Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Most expensive mammogram providers in Utica, NY
These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.
| Facility | City | Price | vs Median |
|---|---|---|---|
| Rome Memorial Hospital | NY | $150 | +$48 |
| Little Falls Hospital | NY | $53 | -$49 |
Why prices vary this much
Setting drives much of the gap in Utica, NY: the median outpatient price is $102 versus $150 inpatient — about 1.5× more, so where a procedure is performed often matters more than which hospital you choose. Of the Utica, NY facilities reporting prices, 1 fall in a low-cost tier (up to $77) while 1 sit in a high-cost tier ($126 and up) — a lower-priced option almost always exists within the same state.
The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.
Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it
How insurance changes what you actually pay
Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.
Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)
Compare mammogram costs in nearby states
Frequently asked questions: mammogram costs in Utica, NY
How much does a mammogram cost in Utica, NY?
Across 2 Utica, NY hospitals that publish prices, a mammogram ranges from $53 to $150, with a median of $102. Most facilities fall between $77 and $121. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a mammogram in Utica, NY?
Based on declared prices, the lowest-cost facility in our Utica, NY data is Little Falls Hospital at about $53. Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.
Why is a mammogram so much cheaper at some Utica, NY hospitals?
Prices vary up to 2.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Utica, NY, the median cash (self-pay) price is $102 versus a median negotiated rate of $75 — about 1.4× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a mammogram in Utica, NY?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network — not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Explore all mammogram cost data
→ See mammogram costs across all states
Where You Get a Mammogram Matters
Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.
Hospital Outpatient Department
Hospital Outpatient Department typically carries a higher price for a mammogram. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.
Independent Imaging Center
Independent Imaging Center typically carries the lowest typical price for a mammogram. Freestanding radiology centers. Technical component billed by center; professional (radiologist read) billed separately. You can shop here — call ahead and ask for a self-pay or cash quote.
Emergency Room Mammogram
A Mammogram performed in the emergency department can run 2–5× the cost of the identical scan at an outpatient or independent facility, because a hospital facility fee stacks on top. Use the ER only when the situation is medically urgent — it is not a setting where you can shop on price.
Mammogram Cost by Type
Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.
Screening Mammogram (2D)
Billed as preventive care — often covered at $0 under the ACA when you are average-risk and in-network. Preventive; $0 cost-share on ACA-compliant plans (CPT 77067).
Screening Mammogram (3D / tomosynthesis)
Billed as preventive care — often covered at $0 under the ACA when you are average-risk and in-network. CPT 77063 add-on / 77067; some plans cover at $0, others apply the 3D add-on.
Diagnostic Mammogram
Ordered to investigate symptoms or a prior finding — standard cost-sharing (deductible, coinsurance) applies. Ordered to evaluate a symptom or follow up a screening finding (CPT 77065/77066). Cost-sharing applies.
Covered at $0 — But Only If It Stays a Screening
Under the ACA (§2713), preventive services — including mammogram for average-risk adults — must be covered at $0 with no cost-sharing when performed by an in-network provider.
The risk: A screening mammogram is covered at $0 under the ACA. If a finding requires additional views or ultrasound, it converts to a diagnostic mammogram and cost-sharing applies — the single most common mammogram billing surprise.
This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands
Mammogram is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than Hospital OP, Imaging Center for identical clinical outcomes.
How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.
Who performs this: Mammogram is typically performed by a Radiology. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.
CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)
A screening mammogram is $0 — until a callback or a symptom re-codes it as diagnostic and the bills start.
The free toolkit shows you:
- ✓ When a "free" screening becomes a cost-shared diagnostic mammogram — and how to see it coming
- ✓ The separate radiologist bill most patients miss (and how to verify it's in-network)
- ✓ Why a hospital outpatient department can cost far more than a breast center for the identical study
- ✓ When 3D tomosynthesis adds a separate charge — and the questions to ask before you schedule
- ✓ A real patient billing breakdown, line by line
Free for patients — takes 30 seconds to get.
We'll email it to you immediately. No account required, no spam.
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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